DR. ROBERT DUNCAN M.D.
NPI 1255337416
Family Medicine - Sports Medicine in Bel Air, MD
NPI Status: Active since June 22, 2005
Contact Information
615 W MACPHAIL RD
STE 106
BEL AIR, MD
ZIP 21014
Phone: (410) 638-8900
Fax: (410) 638-8915
- Individual
- Male
- Family Medicine
- Sports Medicine
- PECOS Enrolled
About ROBERT DUNCAN
This page provides the complete NPI Profile along with additional information for Robert Duncan, a primary care provider established in Bel Air, Maryland with a medical specialization in Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1255337416 assigned on June 2005. The practitioner's primary taxonomy code is 207QS0010X with license number D28136 (MD). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1255337416
- Provider Name
- DR. ROBERT DUNCAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014
- Location Phone
- (410) 638-8900
- Location Fax
- (410) 638-8915
- Mailing Address
- 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014
- Mailing Phone
- (410) 638-8900
- Mailing Fax
- (410) 638-8915
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-22-2005
- Last Update Date
- 01-28-2016
- Code Navigator
A primary care provider (PCP) like Robert Duncan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D28136
- License State
- MD
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 320391300 | MEDICAID (05) | MD | |
| 102L796A | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| D71511 | MEDICARE UPIN (02) | MD |
Medicare Participation & PECOS Enrollment Status
Robert Duncan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21014 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.08
- Minimum New Patient Price $60.73
- Maximum New Patient Price $183.44
- Average New Patient Copayment $23.52
- Minimum New Patient Copayment $15.18
- Maximum New Patient Copayment $45.86
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.59
- Minimum Established Patient Price $19.6
- Maximum Established Patient Price $149.17
- Average Established Patient Copayment $26.64
- Minimum Established Patient Copayment $4.9
- Maximum Established Patient Copayment $37.29
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. ROBERT DUNCAN M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 3 | 7 | 4 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 3 | 14 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 3 + 1 + 4 + 4 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1255337416 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831191097 | DR. TEAETTE L LOUDERBACK-SMITH M.D. Individual | Family Medicine | 615 W MACPHAIL RD STE 206 BEL AIR, MD 21014 (410) 638-5101 |
| 1497759468 | DR. LAWRENCE D WHITE M.D. Individual | Internal Medicine | 615 W MACPHAIL RD STE 206 BEL AIR, MD 21014 (410) 638-5101 |
| 1497750947 | BETH YARNOLD CRNP Individual | Registered Nurse (Gerontology) | 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014 (410) 638-8900 |
| 1396738191 | PHILLIP YIM M.D. Individual | Specialist | 615 W MACPHAIL RD SUITE 107 BEL AIR, MD 21014 (410) 838-9555 |
| 1154310613 | MRS. ERIN PROKOP C.F.N.P. Individual | Nurse Practitioner (Family) | 615 W MACPHAIL RD SUITE 106 BEL AIR, MD 21014 (410) 638-8900 |
| 1750370136 | MS. TAM WARCZYNSKI C.R.N.P. Individual | Nurse Practitioner (Family) | 615 W MACPHAIL RD SUITE 106 BEL AIR, MD 21014 (410) 638-8900 |
| 1831178474 | STEPHEN E. TRISTANI RPH. Individual | Pharmacist | 615 W MACPHAIL RD SUITE 103 BEL AIR, MD 21014 (410) 638-7367 |
| 1437186137 | ERIC R CRAPSTER PA Individual | Physician Assistant (Surgical) | 615 W MACPHAIL RD BEL AIR, MD 21014 (443) 643-2078 |
| 1891025631 | MARYLAND SURGICAL ASSISTANTS Organization | Physician Assistant (Surgical) | 615 W MACPHAIL RD SUITE 210 BEL AIR, MD 21014 (443) 643-2078 |
| 1487659082 | DR. PATRICIA DUBYOSKI M.D. Individual | Family Medicine | 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014 (410) 638-8900 |
| 1316931181 | JAGAT MURARI RASTOGI MD Individual | Specialist | 615 W MACPHAIL RD SUITE 107 BEL AIR, MD 21014 (410) 838-9555 |
| 1699901538 | ALLISON MARIE DIEM CRNP Individual | Nurse Practitioner (Family) | 615 W MACPHAIL RD BEL AIR, MD 21014 (410) 638-8900 |
| 1427057272 | MS. SHARON LYNN DUDLEY-BROWN NP Individual | Nurse Practitioner (Family) | 615 W MACPHAIL RD BEL AIR, MD 21014 (410) 638-8900 |
| 1538134747 | LANDMARK MEDICAL GROUP LLC Organization | Internal Medicine | 615 W MACPHAIL RD SUITE 206 BEL AIR, MD 21014 (410) 638-5101 |
| 1275538878 | DR. DAVID W MCCLURE M.D. Individual | Internal Medicine | 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014 (410) 638-8900 |
| 1629073267 | DR. ALFRED D SPARKS M.D. Individual | Family Medicine | 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014 (410) 638-8900 |
| 1306841945 | DR. FLETA H SOKAL M.D. Individual | Family Medicine | 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014 (410) 638-8002 |
| 1700881315 | DR. DAVID S DUNN M.D. Individual | Internal Medicine | 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014 (410) 638-8900 |
| 1114922655 | DR. SHILPI KHOSLA M.D. Individual | Family Medicine | 615 W MACPHAIL RD STE 106 BEL AIR, MD 21014 (410) 638-8900 |
| 1194172759 | HARTJEN SPINE CARE, LLC Organization | Clinic/Center (Medical Specialty) | 615 W MACPHAIL RD SUITE 210 BEL AIR, MD 21014 (443) 643-2078 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255337416, enumerated in the NPI registry as an "individual" on June 22, 2005
The provider is located at 615 W Macphail Rd Ste 106 Bel Air, Md 21014 and the phone number is (410) 638-8900
The provider's speciality is Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.08 with an average copayment of $23.52 for new patient appointments. Established patients should expect a typical charge of $106.59 and an average copayment of 26.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.